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Pon Tath, D.M.D
NPI 1225260623 · on the registry since 2009
Practice
- Address
- 13500 Airport Rd
Boonville, CA 95415 - Phone
- (707) 895-3477
- Fax
- (707) 895-2035
- Organisation at this address
- Anderson Valley Health Center
Anderson Valley Ambulance ServiceInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Additional practice sites
- 220 Towne Centre Dr, Lathrop, CA
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-12-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California